Revisiting the three different tiers of the health system of Pakistan and their Implications for the achievement of MDGs by Pakistan

Pakistan healthcare system is passing through a complicated phase. It faces an increasing challenge for not making rapid enough progress to improve health outcomes and achieve Millennium Development Goals (MDGs) with an increasing population burden and gradually increasing double burden of diseases. There are a number of factors responsible for it, but weak governance and management challenges hold the key. These are further complicated by macroeconomic issues which limit the government s ability to enhance its investment in health; and an unstable security situation with a large burden of internally displaced populations needing redirecting scarce resources, and, finally, the political and administrative changes.